EFTA01263148.pdf

Scanned Document Collection Page 1 of 4 • U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS ^r,,°,7-w° ''°"•“ *Ass BMW Lagary Wig Mc* itak Only Mlialluo Oen] O.ORNINC. past I of em.M.Sr** 0 s Plow NATO Ow Scums** Passpon Boo', Pep Beta l •• Cl u lot latish yua aft s Pft . lcori • • -4 l - ( "1. sOc B r. • kc: ••• •••••••• 111III 5„2 V.lje 4ik• ry • •-• ••••• •-••••• •• ' re tc• . ••• •••• 1. maim Lam •• ••••-•TSCO68 L a C 4il MAXWELL YP WS. GHISLAINE NOELLE 2. Os 0 Binh (414105Y17Y) so* a Mos of 6;roo wen sago:trim uis.. ways coontry es a a rinnet) (, MAISONS LAFFITTE FRANCE 0. Social 94KNOTT Number A9FIPMets. .g my_amsgaown TANI 1 T. Prirntry Coast Priors Numbr 8. MIME Address I I StieeVRFOO. P 0 Boa or UR8 morns I fl 4,44olord neanony. Rol/4 LS Auberg. Nato m Gm Of Or Riatilan ~la leg in CVO -Jos Doe Act • 7031 Coy n• CI :Odd Co ay 'MO Cl Um 181.11441 NEW YORK NY Meo$g. Arcs Ns* Gaspe nem assanyi pages OntedsC 9 UP 01 Other 11.1111114 1.011 haw 9440. W. Ana** Ott' NOM Madan. Press 0 10. PalSpon Book MSS P1111441011Quil lilbents4lon vs name as Wed on Sul frost real Papal took soot pavoon and GHISLAINE NOELLE MAXWELL Mail reoviloins4.44 t0,11 rusks Sue dale arwstassyvy, 12,04/2002 NAM most Tampon COO MCC*, fisuedoomno•ttmerno - I Ns ' Nur • x r+1 , cfm ems lar yrs - 900a - magma/cat sr ONO '4 W40/1 Jet eta ml Cr.' 4* IIe. - r000th o• pas :oo• ones* ea ten ass by.extu UM, asp* _ _ M." id" • t.. 4.. " .9 / f. le nose CONTINUE TO PAGE 2 BELOW YOU MUST SIGN Ale DATE TNB AVAUGATION IN THE DESIGNATED AREA U S owes of msa. On Un Sabi s NMIP KI MOD spun sus mos panlrl> ass, m d r• %Awns 411 ••• 01444 eflooOlterl taus Ransil* Zs moms ore p.w 'as sow us et Csalere aa V+ Ass skims asses sir sorats ~re sass aunt.> a Spicelat 41 MO saessa ay . vot ~rya al wash Ins las $4014,•••• Or 141,44•4 1104 44on4414 o wool SoNATAm ass 0 goosoocon WIN 4OW.41404 tom • anew oart mmismovierm se+ Nra Mel iind 'tangos to swag 0 , Pa Or storasi vie' lit ks."••••sca..;) FOR ISSUING OFFICE ONLY e: • r" c• en.n, LJ " • •;•:• ••••a• 1ma no 1.-1 Illllllllllllllllll .11 P4op 1 s: 0342 12-2010 SDNY_GM_00000750 https://ccdi.state.osis.gov/p1s/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41... 2/24/2020 EFTA_00114834 EFTA01263148 Jcannect Document Collection Page 2 of 4 Oal• 0/ BIM VreV0110)7/ I Normal ApplIcant ant newts's* MAXWELL. GHISLAINE NOELLE it mamba it greplayes a• SIS.001 1•00.tabal IL Height II . • Cak ii ^', Cola• AN ' ca El% 'I ft' t .) Br( vn P ... 1 D iN: II 5ft 8in. O. AMASS C0 rsxta Neaten. Ann Po's. 00 Sang At& Atibeii Puwalempat Adana VP O. samosa ceder /Hap Aetna a Ifinaltrot 4 cillari bornMara voaronevtre SteWRFD • at UR 0 (MO P.O. 104 SUS 710 0:00 Oly FL MIAMI tamporty. wennnonerepap nor'...bop °Maraud OthoW4 Eneerney Coreael • As,. atorsinisuon a POlerf•Irtl." 1 Mew SIneVRFD S of PO. WOE Hare DANA BOW' ; AY Op er Prr e' cty AS AP ' NY NEW YORK 20 Tea* PIM* Ca/ISSN serene NY of Ire I svnttnny) Only. at Inc 2 WEEKS FRANCE 04/1212012 YOUR APPLICATION STOPI YOU HAVE COMPLETED PAGE ONE BE SURE TO SIGN AND DATE Per 2 On C•st2 12 200 SONY GM_00000751 https://ccdi.state.osis.gov/p1s/ppT/rpt_passport images.display docall?p hash=CF15C41... 2/24/2020 EFTA 00114835 EFTA01263149 Scanned Document Collection Page 3 of 4 lir_ 24 rfirpnestinzeuht•diam te _ • or 39 g .1 t 2)616-1119 Letter of Authorization To The US Passport Office "car Sir/W3c.im: 6% 51.A11.3e AMU,. EAA- hereby authorize Passport Rush. LW. to submit my passport and collect it when issued. The following visas are required prior to my departure: Date of both: / 2 /2S//?6 f Thank you for your prompt atte Ocri na ure of appr rt • m,ror spplten For my soloat.gmee Prohibited SDNY_GM_00000752 https://ccdi.state.osis.gov/p1s/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41... 2/24/2020 EFTA_00114836 EFTA01263150 Scanned Document Collection Page 4 of 4 //T4 S *Jo 1405-0220 U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUAL ' , 1•010Art Pinto Pant {middy Using Black Ink Only Allergen Read WARN iNG on pogo l d iron (ec 111111III IIII II z Plena Sera the decor:Noel lot which you 3. Pa ;port Book El UrstrI Car LI Both sr. s mu.-• ,..ltŒr..•-,,iente 128 P et At t. techrel g i t « • t T mar no 5. nicer. 4 to stet Ns' si WS SI -SO. oils et Is noe II di ii t" mu le> MAXWELL Ent GHISLAINE NOELLE 2. Ora of Binh (rNotWYSY/, , 3. sex 4.. Pen of Bain (alyd Slab inn sie Œff, or CRy Country es if e preoureney ero, gZ4 S. Social Security PBS eÇX Î MAISONS Il J , Adams ab 9 MY-••••000 LAFFITTE FRANCE I 1••• cony 1 t. Primary Contact Phone Number Box or ORB a. Main 'aortas: lira I Specie:1FGe. P 0 ' Apyttneix. Caren . Suite. Urid. en* axe ( 1O 1 or 01larillon or Address LAO 2 Clot at de al Gay SI Ill Kay. NEW YORK .rY I. Lust all ems names you um used. gales. Bell Nan* MS /meow Manta Lae Min Change. Abet ecleleral B A 10. Passport Book leaddardinporl CaM kdorameteee Your name as bled onannoel mart COMM 0002 WOW 2010000 caM GHISLAINE NOELLE MAXWELL issue dale (m, Most recall PastOon tact amber 12104/20( Sue OS (MSc Most recent Otard011adaliobler 11 Mn. 9wM1.YIblrltlConpMa name la Odfaront man satpossum boot fl an ore •*" Sege '`SW Dr,' Ter - sy MKS /CZ :OS tsf :9à - stn. • cr. et- • d, ae m• Cuyes come...Ono E TO PAGE 2 You SUIT mom AND DAII T1ON IN lltE DESIGNATED AREA BELOW or nellonekty, or the lineal Star and MM ML WO tramp U a 000,94.p I Liectiee V. pcsairc Cl peony SI of INC Poona Wan t 011ten Or semi». nabonal cm. 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